Dynamic navigational approach for immediate implant and sinus lift.

| Posted in: Science

Journal name: Journal of Indian Society of Periodontology
Original article title: A dynamic surgical navigational approach for immediate implantation and transcrestal sinus augmentation
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Sanjay Jain, Akshita Solanki


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: A dynamic surgical navigational approach for immediate implantation and transcrestal sinus augmentation

Year: 2021 | Doi: 10.4103/jisp.jisp_581

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

This article discusses the advantages of real-time dynamic navigation in dental implant placement, specifically in the context of transcrestal sinus augmentation and immediate implantation. The author aims to present a safe and innovative approach utilizing a "trace and place" workflow, which proves to be superior to traditional fiducial techniques. The paper also highlights the use of osseodensifying burs, which provide enhanced bone-implant contact, stability, and insertion torque compared to conventional methods.

Advantages of Dynamic Navigation

One critical concept presented is the "trace and place" registration method in dynamic navigation, which eliminates the need for fiducial markers. This method offers significant benefits, including reduced costs and exposure to radiation since no additional CBCT scan with fiducials is necessary. It also avoids inaccuracies associated with stent placement and enhances operational ease for the clinician. Osseodensification, facilitated by densah burs, promotes greater implant stability through compaction and spring-back effects of bone, thereby enhancing the physical interlocking between the bone and implant surface. Additionally, with dynamic navigation, surgeons can visualize the intervention in real time, which aids in precise sinus membrane elevation and decreases potential complications during the procedure.

Conclusion

The article concludes that the integration of real-time dynamic navigation with the osseodensifying technique represents a significant advancement in dental practices, paving the way for less invasive and safer surgical procedures. The ongoing enhancement of imaging technology, tracking systems, and software capabilities is expected to elevate the precision of various dental operations. As research continues, these technologies promise to further refine the effectiveness and safety of dental surgeries, ultimately improving patient outcomes.

FAQ section (important questions/answers):

What is the advantage of dynamic navigation in dental implant surgery?

Dynamic navigation offers real-time tracking, allowing precise implant placement and reducing the risk of anatomical trauma. It enhances accuracy compared to static guides and can be beneficial for patients with limited mouth opening.

How does osseodensification improve the stability of dental implants?

Osseodensification uses specialized burs to compact the bone around the implant, promoting greater bone density and stability. This technique allows for higher bone-implant contact and enhances the mechanical interlocking of the implant.

What is the trace and place workflow in dynamic navigation?

The trace and place workflow eliminates the need for fiducials and custom stents, reducing costs and radiation exposure. It involves registering identifiable landmarks on the patient's gums for accurate implant placement.

What is transcrestal sinus augmentation in dental surgery?

Transcrestal sinus augmentation is a minimally invasive technique that elevates the maxillary sinus membrane to allow for immediate implant placement, enhancing bone volume at the sinus floor for successful dental implant support.

What is the importance of obtaining patient consent for clinical reporting?

Patient consent is crucial as it ensures that individuals understand their images and clinical information may be published anonymously. This practice protects patient privacy while contributing to medical literature.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Dynamic navigational approach for immediate implant and sinus lift.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Table:
In the context of dental surgery, a 'Table' likely refers to the operational surface where surgical procedures are conducted. It is essential for maintaining sterility and organization, as all tools and materials must be easily accessible during implant placements or sinus augmentations, ensuring an efficient workflow and patient safety.

2) Wall:
'Wall', in dental surgery, often pertains to the bony structures surrounding tooth roots or the sinus cavity. During procedures like transcrestal sinus augmentation, understanding the anatomy of the walls is crucial to avoid complications and ensure successful implant placement, as these walls support crucial tissues and structures.

3) Line:
'Line' can denote a guiding mark or reference used during surgical procedures. In dynamic navigation surgery, line placement on the maxilla aids in precise drilling and implant alignment, improving overall accuracy and reducing patient trauma during procedures, and allows for better visualization of desired surgical paths.

4) Mountain:
'Mountain' may metaphorically represent challenges in surgical techniques, such as anatomical variations in the maxillary area when preparing for sinus augmentation. Mastering these procedures often requires overcoming these challenges to attain optimal outcomes in implant placement, ensuring successful surgical interventions for patients, thereby demonstrating their skill and expertise.

5) Hand:
'Hand' refers to the practitioner’s skill and dexterity during dental procedures. In dynamic navigation and implant placement, a steady hand is essential for accuracy in positioning drills and implants. Comprehensive training enhances hand-eye coordination, which is critical to prevent mishaps and ensure successful implant outcomes.

6) Measurement:
'Measurement' in dental practices refers to the precision required in deciding implant sizes, angulations, and bone dimensions. Accurate measurements prevent over- or under-preparation of surgical sites and are vital for achieving optimal stability and aesthetic results in implant and augmentation procedures, impacting overall treatment success.

7) Discussion:
'Discussion' often revolves around critical analysis of surgical techniques and outcomes in dental procedures. This includes sharing insights on dynamic navigation effectiveness and innovations in implantology with peers, which fosters the growth of knowledge in the field and helps refine existing practices to enhance patient care.

8) Splitting:
'Splitting' refers to the technique employed during tooth extractions where roots are divided to minimize bone damage. This method ensures preservation of surrounding structures, allowing for immediate implant placement and facilitating sinus augmentation by enabling easier access to underlying alveolar bone, thereby enhancing surgical outcomes.

9) Composite:
'Composite' might signify composite resin materials used in dentistry to restore teeth and is also relevant in crafting restorations for implants. Although composites are not the primary focus for surgical procedures, they play a vital role in the restorative phase post-implant placement, ensuring functional and aesthetic repairs.

10) Medicine:
'Medicine' is a broad discipline that encompasses the science of diagnosing and treating ailments, including dental conditions. In this context, advancements in dental medicine, particularly focused on implantology, inform practitioners about innovative techniques and technologies that enhance surgical outcomes and patient safety.

11) Training:
'Training' implies the professional development of dentists in advanced techniques such as dynamic navigation in implantology. Comprehensive training ensures that practitioners are skilled in utilizing technology effectively, which enhances precision during surgery and improves overall patient outcomes, highlighting the importance of ongoing education in dental practices.

12) Learning:
'Learning' refers to the continuous process through which dental professionals acquire knowledge and skills, particularly in adapting new technologies or methods like dynamic navigation. A commitment to learning is essential for enhancing surgical techniques, thereby improving patient care and advancing the field of dentistry.

13) Grafting:
'Grafting' in this context pertains to bone grafting techniques used during sinus augmentation. Bone grafting is crucial for providing sufficient support for implants, especially when bone density is inadequate. Understanding grafting is essential for ensuring long-term success and stability of dental implants post-surgery.

14) Account:
'Account' might refer to the documentation needs within dental practice for procedures undertaken, including consent forms and clinical records. Keeping accurate accounts is crucial for legal reasons and continuous improvement in practice as it helps in retaining crucial data for future reference and analyzing patient outcomes.

15) Science (Scientific):
'Science' underpins the principles guiding dental surgery, encompassing research, evidence-based practices, and advancements. In the context of surgery, understanding scientific foundations assist dentists in applying innovative technologies such as dynamic navigation, leading to enhanced precision while performing complex procedures. It provides a framework for successful treatment methodologies.

16) Surface:
'Surface' pertains to the interactions that occur between dental implants and the surrounding bone interface. An appropriate surface design on implants enhances their integration with the bone—termed osseointegration—leading to successful long-term stability. Surface characteristics are crucial in ensuring predictable outcomes in implant dentistry.

17) Summer:
'Summer' may refer to a specific time frame for academic or clinical training sessions for dental practitioners. Education and professional development initiatives are frequently held during breaks to allow practitioners to advance their skills and knowledge without impediments—a crucial element in maintaining a high standard of care.

18) India:
'India' in this context indicates a geographical focus on dental practices, showcasing advancements and techniques in dentistry practiced there. India has a growing dental community where innovations in procedures, such as dynamic navigation and osseodensification, contribute to the evolving landscape of dental implant surgery.

19) Silk:
'Silk' often refers to silk sutures used in dental procedures for closing incisions post-implant placement. These sutures are preferred due to their biocompatibility, minimal tissue reaction, and tensile strength, critical for ensuring optimal healing and aesthetics in dental surgeries following complex procedures.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Dynamic navigational approach for immediate implant and sinus lift.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Surgical instrument, Maxillary Sinus, Immediate implant placement, 3D images.

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